个案管理护理模式对双相情感障碍出院患者的影响

商丽虹 刘小榕 张吉平

【摘要】 目的：寻求个案管理护理模式对双相情感障碍出院患者产生的影响。方法：选取2017年6月-2018年6月因双相情感障碍在本院接受治疗的患者，共110例。将患者按照入院次序的单双号进行平均分组，入院次序为双号的55例患者作为观察组，实施个案管理护理模式，入院次序为单号的55例患者作为对照组，实施常规护理措施，对比两种护理措施对出院患者产生的影响。结果：护理后，观察组生活质量评分均显著高于对照组，且社交、能力、治疗病耻感评分均明显低于对照组，差异均有统计学意义（P<0.05）。结论：对于双相情感障碍患者采用个案管理护理模式，在降低病耻感的同时，有助于提高患者生活质量。

【关键词】 个案管理护理模式; 双相情感障碍; 出院患者; 生活质量; 病耻感

doi：10.14033/j.cnki.cfmr.2019.18.037 文献标识码 B 文章编号 1674-6805（2019）18-00-03

【Abstract】 Objective：To explore the effect of case management nursing mode on discharged patients with bipolar affective disorder.Method：A total of 110 patients who were treated in our hospital for bipolar affective disorder from June 2017 to June 2018.The patients were evenly grouped according to the order of admission.55 patients who were admitted in double order were chosen as the observation group to implement the case management nursing mode.55 patients who were admitted in single order were chosen as the control group to give routine nursing measures.The effects of two nursing measures on discharged patients were compared.Result：After nursing，the quality of life scores of the patients in the observation group were significantly higher than those of the patients in the control group，and the social，ability and treatment stigma scores of the patients in the observation group were significantly lower than those of the patients in the control group，the differences were statistically significant（P<0.05）.Conclusion：The case management nursing mode for patients with bipolar affective disorder can improve the patients quality of life while reducing the patients stigma.

【Key words】 Case management nursing mode; Bipolar affective disorder; Discharged patients; Quality of life; Stigma

First-authors address：Fuzhou Neuropsychiatric Hospital，Fuzhou 350008，China

雙相障碍是临床常见的心境障碍疾病，患者发病后表现出不同活动水平紊乱、心境紊乱等临床症状，具体表现为心境低落、冲动、焦虑、物质滥用等，往往导致患者出现病耻感，影响精神障碍患者回归正常生活，降低生活质量[1]。个案管理护理模式是联合多科室人员共同合作，对患者进行长期无缝隙的管理措施[2-3]。本次研究主要内容是个案管理护理模式对于双相情感障碍出院患者产生的影响，总结如下。

1 资料与方法

1.1 一般床资料

选取2017年6月-2018年6月因双相情感障碍在笔者所在医院接受治疗的患者110例。纳入标准：（1）均符合2001年王祖新等制定的《双相情感障碍的诊断》中关于双向情感障碍诊断标准[4];（2）既往未接受过类似研究;（3）病历资料完整。排除标准：（1）合并其他精神类疾病;（2）存在语言障碍或意识障碍，不能配合本次研究;（3）被诊断出恶性疾病，预期寿命短于1年。……